Discussion on treating encephalopathy from the spleen and stomach theory of TCM
According to TCM,the pathogenesis of encephalopathy is complex and changeable.Wind and fire is the cause,and there are more critical and severe cases.There are great differences among individuals and the disease changes rapidly,which endangers the lives of patients in severe cases.Treatment based on syndrome differentiation is needed in diagnosis and treatment.According to the correlation theory of spleen and stomach and brain,combined with the physiological function and pathological characteristics of spleen and stomach,explore the correlation between spleen and stomach and brain,and provide more ideas for the treatment of encephalopathy by spleen and stomach.The normal function of the spleen and stomach to drain the middle Jiao(焦),purify refined nutritious substances,raise the Qing(清)to reduce the turbidities and regulate the blood can keep the brain full,the phlegm and dampness transport,the pure and clear of the primordial Shen(神)and the blood running normally in the pulse.If the spleen and stomach are damaged,it can also lead to the occurrence of encephalopathy.When part of encephalopathy occurs,from the perspective of regulating the spleen and stomach,the spleen loses health and the phlegm obscurates the brain is needed to replenish the spleen and ease the liver,remove phlegm and remove blood stasis.Unable to produce and transform,without nourishing the brain need warm kidney and spleen,tonify kidney Yin(阴)and nourish the bone marrow,Spleen loss of unification,blood stasis of the brain need to tonify the spleen,Qi(气)and blood circulation.At present,the theory of correlation between spleen and brain has been continuously improved.TCM treatment of encephalopathy pays attention to controlling the diet of patients,recuperating the spleen and stomach,and the idea of treating encephalopathy with the theory of spleen and stomach provides an effective and standardized systematic method for the treatment of encephalopathy.Clinically,the principle of syndrome differentiation is applied in the treatment of some encephalopathy such as the Guipi decoction(归脾汤),the Yiqi Congming decoction(益气聪明汤),the Daotan decoction(导痰汤),the Buyang Huanwu decoction(补阳还五汤),etc.,in order to study the feasibility of treating some encephalopathy from the perspective of spleen and stomach,hoping to provide more ideas for the prevention and treatment of some encephalopathy in TCM.
Stomach-brain theoryEncephalopathyTreatment based on syndrome differentiationPrescriptionIdeological analysis